4. A 68-year-old male presents to the office complaining of pronounced weakness on the right side of his body and slurred speech for the past 24 hours. Based on the examination, the physician orders an MRI to investigate a possible transient ischemic attack (TIA). The range of codes that would be used for this patient would be Codes 390-459 because the treating physician ordered and MRI to rule out a transient ischemic attack. These codes are for Diseases of the Circulatory System 5.
The risk manager said she would investigate further. Eight months later, the radiologist, the hospital and family physician were sued. The issue of breach of patient confidentiality was investigated. This disclosed that shortly after his discharge, the patient was approached by a colleague who expressed sympathy about his HIV status. The patient knew this colleague worked at the hospital.
REFLECTION For the purpose of this assignment I will provide a brief definition of what reflection means according to Johns (2009). I will then demonstrate my understanding of two different models of reflection by describing, Gibbs (1988) reflective cycle and John’s (1994) model of structured refection. I will then offer a critical analysis of the processes of reflection and how they can contribute to personal and professional development. Finally I will apply Gibbs (1988) model of reflective practice when discussing a comment I made to a patient whom I shall refer to as David a seventy two year old gentleman during a multi-disciplinary team meeting known as ward round. The placement setting where David resides is a forensic low secure hospital houses men who are detained under the Mental Health Act (1983) http://www.dh.gov.uk/.
DESCRIPTION: This critical incidence took place during my first 3 weeks clinical practice in the University Hospital Theater On February 28th 2015. The patient, Mr. AK for came to the theatre for his usual alternate dressing. He was diagnosed of cancer of the bone and had a wound on his thorax. The wound was as a result of a drainage tube that was fixed on him to drain the thorax of fluid at Korle bu Teaching Hospital but after the drainage tube was removed, the drainage site became infect so he comes for
RTT1 Task 1 Carmen Miranda-Maze Western Governors University RTT1 TASK 1 In this scenario several hospital employees provide care for a 72 year-old male retired rabbi patient. The patient was admitted with a broken hip, he is restrained and during his stay he was given the wrong meal tray. Nursing-sensitive indicators such as pressure ulcers and patient satisfaction will be addressed. These indicators can be addressed and measured by the hospital through collecting data pertaining to pressure ulcer prevention and Press Ganey scores for patient satisfaction. The ethical issue of the wrong food tray will be addressed by using the appropriate referrals and resources.
RTT1 Organizational Systems Task 2 Jenene McDowell Western Governors University RTT1 Organizational Systems Task 2 The purpose of this paper is to analyze the unfortunate sentinel event of Mr. B, a sixty-seven-year-old patient presenting with severe left leg pain at the emergency room. A root cause analysis is necessary to investigate the causative factors that led to the sentinel event. The errors or hazards in care in the Mr. B scenario will be identified. Change theory will be utilized to develop an appropriate improvement plan to decrease the likelihood of a reoccurrence of the outcome of the Mr. B scenario. A Failure Modes and Effects Analysis (FMEA) will be used to project the likelihood that the suggested improvement plan would not fail.
recovery. Nursing care plans include: an assessment, nursing diagnoses, interventions, goals, and evaluations. Nursing diagnoses are based on the top priorities for the individual client. Nursing care plans are constantly revised, as priorities change on a daily basis (Herdman, 2012). The following case study is on a 26 year-old male whom is a paraplegic and has developed one pressure ulcer on each buttock whom was looked after by the writer on November 26th, 2012.
John SONNELAND, M.D., Petitioner When Suzan Berger went to see her Physician Dr. John Sonneland on July 1, 1993 for abdominal pain, chronic diarrhea, severe dumping syndrome, vomiting and a 40-pound weight loss, she trusted him with the health problems she had been dealing with. Her symptoms began at age 22 and at age 27 she had multiple surgeries. Dr. Sonneland reported that Suzan told him she was taking various drugs, including Tylox, a narcotic for pain. She disputes this fact. She stated she gave him a written release to contact her previous physician Dr. Federic E. Eckhauser, at the University of Michigan Hospital, Ann Arbor, Michigan, to obtain her medical history, but did not list Dr. Hoheim, her former husband, as a past medical provider and did not give the Petitioner permission to contact him.
Ethics, Law and Professional Practice. BSC ( HON) CONTEMPORAL HEALTH PRACTISE 2CP3D813 111121 Ethics, Law and Professional Practise in sickle cell pain 09989951 This essay was written by a nurse who works in emergency medicine .The author will discuss an incident where patient with sickle cell attends Emergency department (A and E) regularly with recurrent episodes of severe sickle cell pain and left upper quadrant pain. For the purpose of this assignment and NMC requirements, anonymity will be maintained, the patient will be known as Mr ‘D’ a pseudonym throughout the essay. Mr D waits for four hours before being seen as the triage nurse classifies him as a regular attendee despite having a pain score of nine. When the doctor finally sees him he tell him that he will not be give any narcotics, before examining him and assessing his pain, .The patient decided to leave and mentioned that he is going to another hospital in the city.
Hospital Observation Composition 2 Omar Kempson Everest University October 30, 2013 Walking in to hospitals always gave me conflicting feelings probably because it is place of health, healing, life and death neatly rolled in one. Walking through the sliding doors the air rushes you, clean and crisp. The atmosphere subtle and somewhat subdued you can at times pick out the emotions that float by. At first you can’t help but, notice the lights with an alarming brightness that’s like an assault on the rental. Always when I arrive I go straight to the front desk for directions which are never clear the security guard usually an older Blackman gives you instructions like go to the B elevators not the first set but the one around the corner take it to the 11th and the patient is in room 1145b to the right of the nurses’ station.